EP4216842A1 - Dispositifs d'articulation médicaux et leurs procédés d'utilisation - Google Patents
Dispositifs d'articulation médicaux et leurs procédés d'utilisationInfo
- Publication number
- EP4216842A1 EP4216842A1 EP21786581.5A EP21786581A EP4216842A1 EP 4216842 A1 EP4216842 A1 EP 4216842A1 EP 21786581 A EP21786581 A EP 21786581A EP 4216842 A1 EP4216842 A1 EP 4216842A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- handle
- actuator
- wire
- medical device
- relative
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000000034 method Methods 0.000 title description 24
- 239000012636 effector Substances 0.000 claims abstract description 58
- 230000004044 response Effects 0.000 claims description 24
- 230000007423 decrease Effects 0.000 claims description 2
- 239000000463 material Substances 0.000 description 7
- 239000000853 adhesive Substances 0.000 description 5
- 230000001070 adhesive effect Effects 0.000 description 5
- 230000013011 mating Effects 0.000 description 5
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 5
- 239000004810 polytetrafluoroethylene Substances 0.000 description 5
- 238000003466 welding Methods 0.000 description 4
- 230000008878 coupling Effects 0.000 description 3
- 238000010168 coupling process Methods 0.000 description 3
- 238000005859 coupling reaction Methods 0.000 description 3
- 238000002788 crimping Methods 0.000 description 3
- -1 polytetrafluoroethylene Polymers 0.000 description 3
- 230000007704 transition Effects 0.000 description 3
- 229920002614 Polyether block amide Polymers 0.000 description 2
- 230000000712 assembly Effects 0.000 description 2
- 238000000429 assembly Methods 0.000 description 2
- 210000003238 esophagus Anatomy 0.000 description 2
- 210000003811 finger Anatomy 0.000 description 2
- 230000002496 gastric effect Effects 0.000 description 2
- 239000011810 insulating material Substances 0.000 description 2
- 210000002429 large intestine Anatomy 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 239000011347 resin Substances 0.000 description 2
- 229920005989 resin Polymers 0.000 description 2
- 210000000813 small intestine Anatomy 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 1
- NIXOWILDQLNWCW-UHFFFAOYSA-N acrylic acid group Chemical group C(C=C)(=O)O NIXOWILDQLNWCW-UHFFFAOYSA-N 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000000436 anus Anatomy 0.000 description 1
- 238000007681 bariatric surgery Methods 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 238000009954 braiding Methods 0.000 description 1
- 210000004534 cecum Anatomy 0.000 description 1
- 210000001072 colon Anatomy 0.000 description 1
- 230000000112 colonic effect Effects 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 210000001198 duodenum Anatomy 0.000 description 1
- 210000005224 forefinger Anatomy 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 210000004247 hand Anatomy 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 238000007682 sleeve gastrectomy Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000003813 thumb Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0052—Constructional details of control elements, e.g. handles
- A61B1/0053—Constructional details of control elements, e.g. handles using distributed actuators, e.g. artificial muscles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0057—Constructional details of force transmission elements, e.g. control wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
- A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00318—Steering mechanisms
- A61B2017/00323—Cables or rods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
- A61B2017/00424—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping ergonomic, e.g. fitting in fist
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
- A61B2017/291—Handles the position of the handle being adjustable with respect to the shaft
Definitions
- First actuator 110 may pull articulation wire 170 proximally to apply a proximal (pulling) force onto clevis 161 , thereby causing articulation joint 150 to bend.
- end effector 160 may be deflected in the first direction, i.e. the same direction of movement as first actuator 110 relative to handle 120.
- articulation wire 170 may be attached to a bottom (off-centered) portion of clevis 161 (see FIGS. 7A-7B) to allow articulation joint 150 to bend when first actuator 110 is moved downward.
Abstract
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US202063081795P | 2020-09-22 | 2020-09-22 | |
PCT/IB2021/058598 WO2022064362A1 (fr) | 2020-09-22 | 2021-09-21 | Dispositifs d'articulation médicaux et leurs procédés d'utilisation |
Publications (1)
Publication Number | Publication Date |
---|---|
EP4216842A1 true EP4216842A1 (fr) | 2023-08-02 |
Family
ID=78078303
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP21786581.5A Pending EP4216842A1 (fr) | 2020-09-22 | 2021-09-21 | Dispositifs d'articulation médicaux et leurs procédés d'utilisation |
Country Status (6)
Country | Link |
---|---|
US (1) | US20220087504A1 (fr) |
EP (1) | EP4216842A1 (fr) |
JP (1) | JP2023543431A (fr) |
KR (1) | KR20230071156A (fr) |
CN (1) | CN116157080A (fr) |
WO (1) | WO2022064362A1 (fr) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SE541401C2 (en) * | 2017-08-16 | 2019-09-17 | Implantica Patent Ltd | Abdominal instrument |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2795301B1 (fr) * | 1999-06-25 | 2001-08-31 | Prec | Instrument de chirurgie endoscopique |
US20070225562A1 (en) * | 2006-03-23 | 2007-09-27 | Ethicon Endo-Surgery, Inc. | Articulating endoscopic accessory channel |
US9138250B2 (en) * | 2006-04-24 | 2015-09-22 | Ethicon Endo-Surgery, Inc. | Medical instrument handle and medical instrument having a handle |
US8409245B2 (en) * | 2007-05-22 | 2013-04-02 | Woojin Lee | Surgical instrument |
US9005238B2 (en) * | 2007-08-23 | 2015-04-14 | Covidien Lp | Endoscopic surgical devices |
US8968355B2 (en) * | 2008-08-04 | 2015-03-03 | Covidien Lp | Articulating surgical device |
US20120109186A1 (en) * | 2010-10-29 | 2012-05-03 | Parrott David A | Articulating laparoscopic surgical instruments |
-
2021
- 2021-09-21 US US17/480,330 patent/US20220087504A1/en active Pending
- 2021-09-21 EP EP21786581.5A patent/EP4216842A1/fr active Pending
- 2021-09-21 JP JP2023518272A patent/JP2023543431A/ja active Pending
- 2021-09-21 CN CN202180063377.XA patent/CN116157080A/zh active Pending
- 2021-09-21 KR KR1020237012959A patent/KR20230071156A/ko unknown
- 2021-09-21 WO PCT/IB2021/058598 patent/WO2022064362A1/fr unknown
Also Published As
Publication number | Publication date |
---|---|
KR20230071156A (ko) | 2023-05-23 |
WO2022064362A1 (fr) | 2022-03-31 |
CN116157080A (zh) | 2023-05-23 |
US20220087504A1 (en) | 2022-03-24 |
JP2023543431A (ja) | 2023-10-16 |
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Legal Events
Date | Code | Title | Description |
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STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE INTERNATIONAL PUBLICATION HAS BEEN MADE |
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PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
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17P | Request for examination filed |
Effective date: 20230302 |
|
AK | Designated contracting states |
Kind code of ref document: A1 Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR |
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DAV | Request for validation of the european patent (deleted) | ||
DAX | Request for extension of the european patent (deleted) | ||
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: EXAMINATION IS IN PROGRESS |
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17Q | First examination report despatched |
Effective date: 20240326 |